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Individual
MRS. JENIFFER QUINONES
Active
Individual
MRS. JENIFFER QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0684996
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0684996
LICENSED PRACTICAL NURSE
NY
Enumeration date
03/03/2020
Last updated
03/03/2020
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